Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Rhabdomyolysis: a case-based critical reflection on its causes and diagnosis

Rhabdomyolysis: a case-based critical reflection on its causes and diagnosis

Rhabdomyolysis is a complex condition that can have traumatic and non-traumatic causes

Trauma-informed care for people presenting to the emergency department with mental health issues

Trauma-informed care for people presenting to the ED with mental health issues

EDs can be challenging environments for people experiencing mental health issues

Assessment and treatment of cutaneous leishmaniasis in the emergency department

Assessment and treatment of cutaneous leishmaniasis in the emergency department

Healthcare staff have a vital role in the assessment and treatment of cutaneous leishmaniasis

Exploring the common prescribing errors that occur in the emergency department

Exploring the common prescribing errors that occur in the emergency department

Identifying common prescribing errors in one large inner-city ED in South Wales

Using problem-based learning to improve patient safety in the emergency department

Two elements are vital to patient safety in emergency care – work culture and staff training

Recognition and management of autonomic dysreflexia in patients with a spinal cord injury

Recognition and management of autonomic dysreflexia in patients with spinal cord injury

It is important that ENs are aware of the symptoms and management of autonomic dysreflexia

How safe staffing can improve emergency nursing: time to cut the Gordian knot

How safe staffing can improve emergency nursing: time to cut the Gordian knot

Exploring the effects of fatigue, workplace bullying, moral distress and inadequate staffing

Decompression sickness: a guide for emergency nurses

Decompression sickness: a guide for emergency nurses

ENs have an essential role in recognising and initially treating patients experiencing DCS

Traffic lights

Screening for sepsis: SIRS or qSOFA? A literature review

Evidence from this article led to the creation of a screening tool developed by the author

Assessment and management of patients with tibial plateau fractures in emergency departments

Assessment and management of patients with tibial plateau fractures in EDs

Such fractures are a common presentation in EDs, yet diagnosis is not always obvious

Partner violence

Emergency healthcare for women who experience intimate partner violence: part 1

This integrative review is the first of a two-part series about intimate partner violence

Ankle sprain

A comparison of two interventions in the treatment of severe ankle sprains and lateral...

Aim Stable ankle injuries are highly prevalent in the UK. Prevention of complications and reoccurrence is essential. The literature shows that plaster of Paris and AirLoc brace are clinically effective treatments for such injuries. However, there is no research measuring patients’ satisfaction with these treatments. This study compared options in the treatment of severe ankle sprains and distal fibular avulsion fractures from patients’ perspectives. The aim was to determine patients’ preferred treatment between below knee plaster cast and AirLoc brace in the management of stable ankle injuries. Method A total of 39 patients who presented at an urban hospital with stable ankle injuries were recruited into a randomised controlled trial. Patient satisfaction levels were measured by questionnaire one week into treatment. The null hypothesis was ‘there is no significant difference in satisfaction levels between the two devices’. Findings There were statistically significant higher patient satisfaction levels in the AirLoc group compared to the plaster cast group. After analysis by the unrelated t-test, the null hypothesis was rejected. Comfort, daily activities, sleep, work and social life were the main contributing factors. Additionally, 67% of the AirLoc group compared to 46% of the plaster cast group were able to return to work. The number needed to treat for one additional AirLoc patient to return to work was 4.8 (five patients). Conclusion Patients’ preferred treatment is the AirLoc brace. The inquiry method could be used to provide patient-centred care in other fields.

Awareness of secondary traumatic stress in emergency nursing

How nurses can safeguard against secondary traumatic stress

Time is precious: person-centred end of life care in an emergency department

A quality improvement project undertaken in one ED at a major tertiary referral hospital

Reducing attendance at trauma clinics by providing first-point-of-contact treatment

Implementing trauma pathways in two of Oxfordshire’s community minor injury units

Full-thickness burns due to contact with gastric acid

This article highlights the potential harm caused by gastric acid

How ED four-hour target affects clinical outcomes for people with a personality disorder

This article challenges the perception of the target as beneficial for all patients

Responding to nerve agent poisoning: a guide for emergency nurses. Part 2

The second part of our emergency nurse guide on nerve agents

Pages

Jobs